Individual
JOHN VICTOR TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11911 S OXFORD AVE STE 200, TULSA, OK 74137-7778
(918) 984-5063
(918) 600-0690
Mailing address
11911 S OXFORD AVE STE 200, TULSA, OK 74137-7778
(918) 984-5063
(918) 600-0690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS10091
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
5170
OK
Other
Enumeration date
04/30/2008
Last updated
09/09/2025
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